Dr. Monika Arora Director: Health Promotion & Adjunct Associate Professor Public Health Foundation of India ENCOURAGING PHYSICAL ACTIVITY – A KEY HEALTH PROMOTION STRATEGY FOR THE PREVENTION AND CONTROL OF NCDs
Dec 16, 2014
Dr. Monika AroraDirector: Health Promoti on &Adjunct Associate Professor
Public Health Foundati on of India
ENCOURAGING PHYSICAL ACTIVITY – A KEY HEALTH
PROMOTION STRATEGY FOR THE PREVENTION AND
CONTROL OF NCDs
GBD 2010
Lancet 2012
Risk Factors(Top Contributors to DALYs)
1. High Blood Pressure2. Smoking (excluding SHS)3. Alcohol Use4. Household Air Pollution5. Low Fruit6. High Body Mass Index7. High Fasting Plasma Glucose8. Childhood Underweight9. Ambient PM Pollution10 Physical Inactivity
Diet & Physical Inactivity
Cluster Responsible For
Largest Global Disease
Burden
Study conducted among adolescents across 5 districts of India showed 25.2% boys and 24.7% girls had poor physical activity index
Bachani et al., 2013 Among adolescents (> 11 yrs) duration of Sedentary activity
(223 min) was more than moderate- vigorous physical activity (60.7 min)
Swaminathan et al., 2012 Walking and bicycling to work is associated with reduced
cardiovascular risk in the Indian population. A dose-response relationship was observed between duration of bicycling to work and being overweight, having hypertension or diabetes. Millett et al., 2013)
NCD Risk Factors in India:Physical Inactivity - I
A hospital-based case control study with 1050 participants (350 AMI cases and 700 controls) conducted in New Delhi and Bangalore suggested that:
Participants with the highest level of physical activity (>145 MET-minutes per day) had a RR of 0.45 (95% CI: 0.31, 0.66) for CHD compared with non-exercisers.
Participants with >3.6 hours of sedentary activity per day had an increased risk (RR 1.88; 95% CI: 1.09, 3.20) of CHD compared with participants doing <70 minutes of sedentary activity per day.
Rastogi et al., 2004
NCD Risk Factors in India:Physical Inactivity - II
(WHO SEARO, 2013)
Targets for NCD Prevention and Control in India
A social marketing focused interventi on to promote physical acti vity in rural Tamil Nadu (India) mobilised nearly 55% of the subjects in brisk walking > 4 days a week
Subitha et al., 2013 An intervention with 11 year olds in Norway eff ect on overall physical acti vity at
the level of p = 0.05 with a net eff ect of 50 cpm increase from baseline to post intervention in favour of the intervention group (95% CI −0.4, 100)
Grydeland et al., 2013
Eff ectiveness of Interventions to Promote Physical Activity
Source: Cecchini M, Sassi F, Lauer J et al. Tackling unhealthy diets, physical inactivity and obesity: health effects and cost-effectiveness. Lancet 2010
Surrounding area Less than 15% had cycle lanes separated from road Less than 15% had pavements on both sides of road Less than 10% had pavements on one side of the road Less than 10% had marked pedestrian crossing Less than 30% had traffi c calming measures No signs
School grounds Generally, modal quality ‘Adequate’ Over 90% had playground equipment Over 50% had courts Over 50% had quadrangles Over 50% had uncovered cycle parking while less than 10% had covered
cycle parking
An Evaluati on of School Environments: Physical Acti vity Audit tool
Innovative Health Promotion Campaigns
Walk for Health: Counti ng every mile you walk!
Mobilizing the Ground Miles App Download
www.groundmiles.bupa.comTotal global downloads: 21,372
Clicks from India: 3,13,884
Walk for Health – Delhi (Oct 20, 2013)Nearly 10000 parti cipants
Walk for Health – Mumbai (Oct 20, 2013)Nearly 6000 parti cipants
Walk for Health-Vizag (Nov 30, 2013)Nearly 5000 parti cipants
Inter-school Poster Competition- Delhi
1,200 students from nearly 40 schools in Delhi
Inter-school Poster Competition-Vizag
Nearly 1000 students participated in the Poster making competition
Optimising Social Media
Twitter Engaging celebriti es to spread the word
Engaging like minded organisations
Promotion on Y4H www.facebook.com/youthforhealth
The DADA Campaign
Promoti ng Physical Acti vity in Colleges
Partnering at festival of Youth Sport, Delhi University
Organising mini-marathons and walkathons with college students
Eat for Goals!
Eat For Goals! is a recipe book for children13 players13 dishes1 cause1 book
Rationale:Footballers are role models for boys and girls. A multicultural group of 13 internationally renowned male and female star players present their food choices. The recipe book highlights the interdependency between a balanced healthy diet and performance.
Respect Your Health
An increase in health literacy levels
• A positive change in lifestyles• An increase in community
involvement in social activities• A wider range of citizens playing
sport and using local sports facilities, thanks to a greater sense of community ownership
http://respectyourhealth.eu
“Healthy Stadia are those which promote the health of visitors, fans, players, employees and the surrounding community... Places where people can go to have a positive, healthy experience playing or watching sport.”
A holistic approach to developingstadia as ‘health promoting settings’
http://www.healthystadia.eu
The European Healthy Stadia Network
Make a healthy heart your goal
www.worldheart.org/womenseuro
Make a healthy heart your goal
UEFA Multi -European City Initi ati ve
THANK [email protected]